Care Coordinator DSNP

Hello, we’re Belong.

We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.

With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.

We believe that only by recognizing individuals can we make communities strong.

Belong Health. Kinder, more supportive care.

The Care Coordinator provides administrative and coordination support to the interdisciplinary Care Team (RN and SW). This role partners directly with members, members’ families and/or advocates, providers, and community organizations to help ensure members receive the services, equipment, and supplies needed to support quality of life and progress toward member-identified goals.

The Care Coordinator supports key program activities including welcome calls and assessment completion, development and implementation of the Individualized Care Plan (ICP), and proactive outreach to address barriers to care. The Care Coordinator also educates members and caregivers on plan benefits, helps connect members to appropriate social and health supports, and follows up on an ongoing basis.

Essential job duties and responsibilities

• Welcome and orient new members to the Belong Health DSNP program.

• Conduct outreach and complete assessments (e.g., Health Risk Assessments and Social Determinants of Health screenings).

• Support the Care Team in developing and updating each member’s Individualized Care Plan (ICP).

• Coordinate access to services and resources, including medical and social services, supplies, durable medical equipment (DME), and medications.

• Facilitate and monitor implementation of the member’s care plan in collaboration with the Interdisciplinary Care Team.

• Support documentation processes, including preparation for and follow-up from interdisciplinary care team meetings.

• Identify issues and independently resolve non-clinical questions and complaints; escalate clinical concerns to the appropriate team member or department.

• Partner with members, providers, and internal staff to identify and address service, satisfaction, and retention opportunities.

• Educate potential members and community representatives on plan features, benefits, and admission requirements.

• Support compliance with clinical quality measures, standards, and documentation expectations.

• Promote a culture of accountability and service excellence, ensuring timely and satisfactory resolution of complex, specialized, and non-routine member issues.

• This role does not have supervisory responsibilities.

Required professional experience and qualifications

• 2+ years of experience in care coordination, customer service, healthcare, a community-based organization, or a social services environment.

• Experience in a managed care or HMO setting strongly preferred.

• Understanding of the needs and dynamics of older adults and populations experiencing disadvantage and/or disengagement.

• Strong problem-solving, trend identification, and analytical skills.

• Demonstrated commitment to high ethical standards, including protecting member privacy and Belong data and using discretion when handling confidential information.

• Excellent verbal and written communication skills.

• Proficiency with common PC platforms and applications.

• Knowledge of managed care products,